Provider Demographics
NPI:1306198577
Name:M.D. CONSULTING CENTER, INC
Entity Type:Organization
Organization Name:M.D. CONSULTING CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:PERDOMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-953-8363
Mailing Address - Street 1:2387 W 68TH ST
Mailing Address - Street 2:SUITE 504
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-6889
Mailing Address - Country:US
Mailing Address - Phone:786-953-8363
Mailing Address - Fax:786-953-8364
Practice Address - Street 1:2387 W 68TH ST
Practice Address - Street 2:SUITE 504
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-6889
Practice Address - Country:US
Practice Address - Phone:786-953-8363
Practice Address - Fax:786-953-8364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service